Individual provider Active NPI

Erin Doxtader, O.D

  • Optometrist
  • Bremerton, WA
National Provider Identifier
1962830117
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60411003 Issued in WA
Practice address
2816 Wheaton Way
Bremerton, WA 98310-3433
Phone
(360) 479-2020
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60411003 WA Primary

Addresses

Primary practice location

2816 Wheaton Way
Bremerton, WA 98310-3433

Mailing address

2816 Wheaton Way
Bremerton, WA 98310-3433
Phone (360) 479-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201000810 CA Practitioner - Optometry 5991928921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeiter Eye Medical Group IncGroup PAC ID 8527018316, 11 clinicians

Practice addresses (Care Compare)

1801 E March LN
Suite C350
Stockton, CA 95210-6674
Phone (209) 466-5566

Merit-based Incentive Payment System (MIPS)

Final score
85.63 of 100Reported as group
Quality
94
Improvement activities
40
Cost
43.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60411003WAMDOptometrist
14805CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivercity Doctors of Optometry Inc. Optometrist CurrentSince Nov 14, 2016 Accepting new patients
Zeiter Eye Medical Group, Inc Optometrist Current Accepting new patients
Zeiter Eye Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Zeiter Eye Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

421 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 366-0446

1630 W Yosemite Ave
Ste 3
Manteca, CA 95337
Phone (209) 239-3880

1315 Alhambra Blvd
Ste 310
Sacramento, CA 95816
Phone (916) 452-2020

1801 E March Ln
Ste C350
Stockton, CA 95210
Phone (209) 474-2121

1801 E March Ln
Ste A160
Stockton, CA 95210

255 E Weber Ave
Stockton, CA 95202
Phone 20946655661590

36 W 10th St
Tracy, CA 95376
Phone (209) 835-7446

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1962830117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103433",
            "telephone_number": "360-479-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103433",
            "telephone_number": "360-479-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOXTADER",
        "first_name": "ERIN",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60411003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.